Martin Sean Etheridge, is a
Counselor - Professional based in Pageland, South Carolina. Martin Sean Etheridge is licensed to practice in South Carolina (license number 6059) and his current practice location is
212 W Mcgregor St, Pageland, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 672-7096.
NPI number for Martin Sean Etheridge is 1962705863 and his current mailing address is 212 W Mcgregor St, Pageland, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962705863.
Healthcare Provider's Profile
Full Name | Martin Sean Etheridge |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 212 W Mcgregor St, Pageland, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962705863
- Provider Enumeration Date: 12/15/2010
- Last Update Date: 08/18/2021
Medical Identifiers
Medical identifiers for Martin Sean Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962705863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6059 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martin Sean Etheridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Martin Sean Etheridge, 212 W Mcgregor St, Pageland, SC 29728-2137 Ph: (843) 672-7096 | Martin Sean Etheridge, 212 W Mcgregor St, Pageland, SC 29728-2137 Ph: (843) 672-7096 |
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